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Paula Aguirre-Bejarano, Eduardo Tuta-Quintero, Claudia Mora-Karam, Sergio Quiroga-Segura, Juan Pimentel
Paroxysmal hematoma of the fingers, or Achenbach syndrome, is a rare vascular disorder of benign course and unknown etiology. The clinical manifestations are sudden onset, paroxysmal spontaneous subcutaneous hematomas, and edema and pain in the fingers and hands. The clinical course is self-limited and does not leave permanent sequela. The diagnosis is clinical, and complementary studies are often unnecessary. We present the clinical case of a 69-year-old woman diagnosed with Achenbach syndrome in a primary care center in Colombia...
March 2023: WMJ: Official Publication of the State Medical Society of Wisconsin
#22
JOURNAL ARTICLE
Fang Liu, Gaohua Wang, Jingping Ye, Baozhen Yao, Junling Wang, Huaqian Wang, Hong Liu
BACKGROUND: Tic disorders (TD) are complex neuropsychiatric disorders frequently associated with a variety of comorbid problems, whose negative effects may exceed those of the tics themselves. In this study, we aimed to explore the sociodemographic and clinical characteristics of children with TD and behavioral problems, and develop a prediction model of behavioral problems based on the predictors under real-world conditions. METHODS: A hospital-based cross-sectional study was conducted on children with TD...
February 2, 2023: BMC Pediatrics
#23
JOURNAL ARTICLE
Klemens Winder, Carolina Villegas Millar, Gabriela Siedler, Michael Knott, Arnd Dörfler, Anna Engel, Stephan Achenbach, Max J Hilz, Bernd Kallmünzer, Stefan Schwab, Frank Seifert, Kilian Fröhlich
INTRODUCTION: Myocardial injury related to acute ischaemic stroke is common even without primary cardiac disease. We intended to determine associations between values of left ventricular ejection fraction (LVEF) and ischaemic stroke lesion sites. METHODS: Of a local database, patients with acute first-ever ischaemic stroke confirmed by brain imaging but without pre-existing heart disease were included. The cardiac morphology and LVEF were obtained from transthoracic or transesophageal echocardiography, and impaired LVEF was categorised as mild (35%-50%), moderate (34%-25%) and severe (<25%)...
January 18, 2023: Stroke and Vascular Neurology
#24
JOURNAL ARTICLE
Kristine Trotter, James Espinosa, Alan Lucerna
This article describes an unusual presentation of a blue finger in a middle-aged woman with no significant past medical history. The patient was diagnosed with Achenbach syndrome, a rare condition that is generally considered transient and benign. The underlying pathophysiology of this condition is unclear, but may be related to transient subcutaneous ecchymosis, possibly from microtrauma. If the condition recurs, a workup can include laboratory tests for autoimmune diseases such as rheumatoid arthritis. Clinician awareness of this presentation may reduce patient anxiety and unnecessary testing...
January 1, 2023: JAAPA: Official Journal of the American Academy of Physician Assistants
#25
EDITORIAL
Anca Chiriac, Uwe Wollina, Raluca Miulescu, Cristiana Voicu, Anca E Chiriac, Adriana Diaconeasa, Tudor Pinteala, Cristian Podoleanu
We present a case of Achenbach syndrome, which is an alarming disease for both patients and physicians, although it is a rare, benign and self-limiting disorder. It is also reported as "paroxysmal finger haematoma", but the majority of cases are misdiagnosed, and unnecessarily investigated and treated.
September 2022: Mædica
#26
JOURNAL ARTICLE
Kathrin Pahmeier, Silke Neusser, Christian Hamm, Johannes Kastner, Jochen Wöhrle, Ralf Zahn, Stephan Achenbach, Julinda Mehilli, Tommaso Gori, Christoph Naber, Holger Nef, Till Neumann, Gert Richardt, Axel Schmermund, Christoph Claas, Thomas Riemer, Janine Biermann-Stallwitz
BACKGROUND: Numerous studies have reported clinical endpoints following coronary revascularization using bioresorbable vascular scaffolds (BVS), while information about the impact on health-related quality of life is sparse. In this analysis of the German-Austrian ABSORB RegIstRy, the 2 year results concerning quality of life development in a large cohort of patients treated with BVS were reported. METHODS: Data were collected at baseline as well as 30 days, 6 and 24 months after coronary revascularization using BVS...
August 20, 2022: BMC Cardiovascular Disorders
#27
REVIEW
Hristo Abrashev, Julian Ananiev, Ekaterina Georgieva
Background and Objectives : Achenbach's syndrome is usually a benign, self-limiting clinical condition presented with finger discoloration, pain, and edema. Etiology, pathogenesis, and incidence remain unknown due to the variety of clinical features and the diversity of disease states leading to digital ischemia. COVID-19 primarily affects microcirculation, causing endothelial damage and disseminated microthrombosis. Materials and Methods : We reviewed two cases of Caucasian women with Achenbach's syndrome after COVID-19 infection recovery between April and May 2021...
July 10, 2022: Medicina
#28
JOURNAL ARTICLE
Ruian Ke, Pamela P Martinez, Rebecca L Smith, Laura L Gibson, Chad J Achenbach, Sally McFall, Chao Qi, Joshua Jacob, Etienne Dembele, Camille Bundy, Lacy M Simons, Egon A Ozer, Judd F Hultquist, Ramon Lorenzo-Redondo, Anita K Opdycke, Claudia Hawkins, Robert L Murphy, Agha Mirza, Madison Conte, Nicholas Gallagher, Chun Huai Luo, Junko Jarrett, Abigail Conte, Ruifeng Zhou, Mireille Farjo, Gloria Rendon, Christopher J Fields, Leyi Wang, Richard Fredrickson, Melinda E Baughman, Karen K Chiu, Hannah Choi, Kevin R Scardina, Alyssa N Owens, John Broach, Bruce Barton, Peter Lazar, Matthew L Robinson, Heba H Mostafa, Yukari C Manabe, Andrew Pekosz, David D McManus, Christopher B Brooke
Background: The global effort to vaccinate people against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during an ongoing pandemic has raised questions about how vaccine breakthrough infections compare with infections in immunologically naive individuals and the potential for vaccinated individuals to transmit the virus. Methods: We examined viral dynamics and infectious virus shedding through daily longitudinal sampling in 23 adults infected with SARS-CoV-2 at varying stages of vaccination, including 6 fully vaccinated individuals...
July 2022: Open Forum Infectious Diseases
#29
JOURNAL ARTICLE
Valentina Bianchi, Leslie Rescorla, Eleonora Rosi, Silvia Grazioli, Maddalena Mauri, Alessandra Frigerio, Thomas M Achenbach, Masha Y Ivanova, Ladislav Csemy, Jeroen Decoster, Johnny R J Fontaine, Yasuko Funabiki, David M Ndetei, Kyung Ja Oh, Marina M da Rocha, Roma Šimulioniene, Elvisa Sokoli, Massimo Molteni, Maria Nobile
Background/Objective: Emotional dysregulation (ED) is a dimensional psychological domain, previously operationalized by instruments of the Achenbach System of Empirically Based Assessment (ASEBA) for children and adolescents; however, its cross-cultural and bottom-up characteristics among adult populations are still unknown. Method: We examined scores obtained on the Adult Self-Report (ASR) by 9,238 18- to 59-year-olds from 10 societies that differed in social, economic, geographic, and other characteristics...
May 2022: International Journal of Clinical and Health Psychology: IJCHP
#30
Nicholas L Todd, Sean Bowling, Mallory Jengo, Micah Jones
Achenbach syndrome is a rare, benign, self-limiting condition characterized by spontaneous, recurrent bruising of the digits without evidence of systemic disease or predisposing factors. We report a middle-aged Caucasian female that presented to the outpatient clinic with spontaneous bruising on the dorsal aspect of her left first metacarpal. Diagnosis of Achenbach syndrome was made through history and physical examination findings, and the patient was discharged with instructions to follow up as needed. It is important for providers to consider Achenbach syndrome to reassure patients and prevent an expensive or invasive workup...
March 2022: Curēus
#31
JOURNAL ARTICLE
M Buhck, J Achenbach, B Wiese, A T Tran, M Stuhrmann, B Jaeger, M Bernateck, N Schneider, M Karst
OBJECTIVE: Somatoform disorders and functional somatic syndromes (FSS) with symptoms that are not sufficiently explained by physical or technical examination are among the most challenging underlying causes. Many different somatoform disorders and FSS have overlapping symptoms, often with pain as the most prevalent one, leading to a high burden of disease. The concept of multisomatoform disorder (MSD) has been developed to acknowledge that fact. We analyzed a group of 151 patients and 149 matched controls to identify interactions of genetic and environmental factors with a possible influence on the development of MSD...
April 20, 2022: Journal of Affective Disorders
#32
JOURNAL ARTICLE
Jessica Klusek, Shannon L O'Connor, Alexandra Hickey, Kimberly J Hills, Leonard Abbeduto, Jane E Roberts
This study characterized the rates of attention-deficit/hyperactivity disorder (ADHD) in adolescent and young adult males with fragile X syndrome (FXS) using a multi-method approach integrating a DSM-based parent interview (Children's Interview for Psychiatric Syndromes; P-ChIPS, Fristad et al., 1998) and a parent rating scale (Child Behavior Checklist; CBCL, Achenbach, 2001). Thirty-one males with FXS, aged 16-24 years, participated. Forty-two percent met DSM-5 criteria for ADHD and 35% exceeded the CBCL cut-offs...
May 1, 2022: American Journal on Intellectual and Developmental Disabilities
#33
Azin Azarfar, Shazia Beg
Achenbach syndrome, also known as "paroxysmal finger haematoma", is a rare, benign, self-limiting condition with unknown etiology that results in an acute onset swelling and pain, and subsequently blue discoloration of the fingers and sometimes the feet. The pathophysiology of this syndrome is not entirely clear, but intermittent spontaneous hematoma formation is reported as its characteristic symptom. Achenbach syndrome is more predominant in the female population. There are no known risk factors such as trauma, drug use, bleeding disorders, or rheumatologic diseases associated with the etiology of this syndrome...
March 2022: Curēus
#34
JOURNAL ARTICLE
Yasuhiro Kano, Satoshi Watanuki
No abstract text is available yet for this article.
February 2022: Postgraduate Medical Journal
#35
MULTICENTER STUDY
Donghee Han, Andrew Lin, Keiichiro Kuronuma, Evangelos Tzolos, Alan C Kwan, Eyal Klein, Daniele Andreini, Jeroen J Bax, Filippo Cademartiri, Kavitha Chinnaiyan, Benjamin J W Chow, Edoardo Conte, Ricardo C Cury, Gudrun Feuchtner, Martin Hadamitzky, Yong-Jin Kim, Jonathon A Leipsic, Erica Maffei, Hugo Marques, Fabian Plank, Gianluca Pontone, Todd C Villines, Mouaz H Al-Mallah, Pedro de Araújo Gonçalves, Ibrahim Danad, Heidi Gransar, Yao Lu, Ji-Hyun Lee, Sang-Eun Lee, Lohendran Baskaran, Subhi J Al'Aref, Yeonyee E Yoon, Alexander Van Rosendael, Matthew J Budoff, Habib Samady, Peter H Stone, Renu Virmani, Stephan Achenbach, Jagat Narula, Hyuk-Jae Chang, James K Min, Fay Y Lin, Leslee J Shaw, Piotr J Slomka, Damini Dey, Daniel S Berman
IMPORTANCE: Distinct plaque locations and vessel geometric features predispose to altered coronary flow hemodynamics. The association between these lesion-level characteristics assessed by coronary computed tomographic angiography (CCTA) and risk of future acute coronary syndrome (ACS) is unknown. OBJECTIVE: To examine whether CCTA-derived adverse geometric characteristics (AGCs) of coronary lesions describing location and vessel geometry add to plaque morphology and burden for identifying culprit lesion precursors associated with future ACS...
March 1, 2022: JAMA Cardiology
#36
JOURNAL ARTICLE
Gianluca Pontone, Alexia Rossi, Marco Guglielmo, Marc R Dweck, Oliver Gaemperli, Koen Nieman, Francesca Pugliese, Pal Maurovich-Horvat, Alessia Gimelli, Bernard Cosyns, Stephan Achenbach
Cardiac computed tomography (CT) was introduced in the late 1990's. Since then, an increasing body of evidence on its clinical applications has rapidly emerged. From an initial emphasis on its technical efficiency and diagnostic accuracy, research around cardiac CT has now evolved towards outcomes-based studies that provide information on prognosis, safety, and cost. Thanks to the strong and compelling data generated by large, randomized control trials, the scientific societies have endorsed cardiac CT as pivotal diagnostic test for the management of appropriately selected patients with acute and chronic coronary syndrome...
January 24, 2022: European Heart Journal Cardiovascular Imaging
#37
JOURNAL ARTICLE
Claire Chiang, Melinda J Gooderham
No abstract text is available yet for this article.
January 23, 2022: Journal of Cutaneous Medicine and Surgery
#38
JOURNAL ARTICLE
Johannes Achenbach, Mathias Rhein, Alexander Glahn, Helge Frieling, Matthias Karst
BACKGROUND: Different functional somatic syndromes (FSS), fibromyalgia (FMS) and other unexplained painful conditions share many common clinical traits and are characterized by troubling and functionally disabling somatic symptoms. Chronic pain is most frequently reported and at the center of patients' level of disease burden. The construct of multisomatoform disorder (MSD) allows to subsume severely impaired patients suffering from FSS, FMS and other unexplained painful conditions to be examined for common underlying processes...
January 21, 2022: Clinical Epigenetics
#39
RANDOMIZED CONTROLLED TRIAL
Martin T Christian, Nicholas Ja Webb, Rebecca L Woolley, Nafsika Afentou, Samir Mehta, Emma Frew, Elizabeth A Brettell, Adam R Khan, David V Milford, Detlef Bockenhauer, Moin A Saleem, Angela S Hall, Ania Koziell, Heather Maxwell, Shivaram Hegde, Eric R Finlay, Rodney D Gilbert, Caroline Jones, Karl McKeever, Wendy Cook, Natalie Ives
BACKGROUND: Most children with steroid-sensitive nephrotic syndrome have relapses that are triggered by upper respiratory tract infections. Four small trials, mostly in children already taking maintenance corticosteroid in countries of different upper respiratory tract infection epidemiology, showed that giving daily low-dose prednisone/prednisolone for 5-7 days during an upper respiratory tract infection reduces the risk of relapse. OBJECTIVES: To determine if these findings were replicated in a large UK population of children with relapsing steroid-sensitive nephrotic syndrome on different background medication or none...
January 2022: Health Technology Assessment: HTA
#40
JOURNAL ARTICLE
Sarah J Willis, H Nina Kim, Chad J Achenbach, Edward R Cachay, Katerina A Christopoulos, Heidi M Crane, Ricardo A Franco, Christopher B Hurt, Mari M Kitahata, Richard D Moore, Michael J Silverberg, Phyllis C Tien, Daniel Westreich, Julia L Marcus
OBJECTIVES: We assessed the incidence of extrahepatic cancer among people with HIV/HCV coinfection and the potential impact of direct-acting antivirals (DAAs) on extrahepatic cancer risk among people with HIV/HCV coinfection. DESIGN: Our study cohort included adults who initiated HIV care at a CNICS site in the US during 1995-2017, excluding those with previous cancer and without HCV testing. METHODS: We used Cox regression to estimate hazard ratios for extrahepatic cancer incidence among patients with HIV/HCV coinfection compared with those with HIV monoinfection...
December 23, 2021: HIV Medicine
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